Individual
KANDICE LEIGH PHIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 K M WICKER MEMORIAL DR, SANFORD, NC 27330-5070
(919) 439-9251
Mailing address
521 HAMLET DR, BROADWAY, NC 27505-8011
(304) 993-1020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14162
NC
363A00000X
Physician Assistant
PA00670
MS
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2021
Last updated
12/11/2024
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